It is often a difficult task to ascertain whether pectus pain is of a cardiac or non cardiac energise in primary care. A fifty year octogenarian male presents with chest pain in the pharmacy, as a pharmacist it is important to consider the various types and degrees of chest pique that the patient may be experiencing and therefore decide the contrary assessment approaches that must be taken. Most chronic cardiac diseases tend to be initially asymptomatic however; this should non automatically exclude non chronic conditions which also need to be taken into consideration hence the need for assessment.
Conditions that cause chest pain or discomfort, such as Angina, tend to nurture a potentially poor prognosis. This emphasises the importance of prompt and close diagnosis. As a community pharmacist it is important to premier establish whether or not the patient could be in any immediate danger by ruling protrude the possibility of ischemic heart disease which may dominate emergency services before carrying out any assessments. Studies spend a penny found that a distinguishing feature of patients with heartburn-related chest pain is that they are more likely to notice the pain after a change in posture (Fennerty et al. 2009).
Symptoms| Cardiovascular causes| Other likely causes|
Chest Discomfort| Myocardial InfarctionAnginaPericarditisAortic Dissection| Oesophageal spasmPneumothoraxMusculoskeletal Pain|
Syncope/silliness| ArrhythmiasPostural HypertensionAorticStenosisHypertrophic obstructive cardiomyopathyAtrial Myxoma| Simple faints Epilepsy|
Breathlessness| Heart failureAnginaPulmonary EmbolismPulmonaryHypertension| Respiratory diseaseAnaemiaObesity|
dropsy| Heart failureConstrictive PericarditisVenous Stasis| Nephritic SyndromeLiver diseaseDrugs|
Palpitation(Douglas et al. 2005)| TachyarrhythmiaEctopic Beats| AnxietyHyperthyroidismDrugs|
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